Sepulveda, Jomary

Sepulveda, Jomary is an individual health care provider with primary practice located at 400 Columbus Ave Apc, New Haven CT 06519. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Sepulveda, Jomary can be contacted via phone (203) 503-3673.

Contact Information

Primary practice address
400 Columbus Ave Apc New Haven CT 06519
Phone: (203) 503-3673
Fax: (203) 503-3600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3521 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4700 Connecticut

Profile Details

NPI number 1174974471
LBN Legal business name Sepulveda, Jomary
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Mar 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174974471 NPPES
Connecticut MEDICAID 004235918

Popular Providers